Individual provider · Type 1 NPI
Joel Micah Supple, CSFA, CST
Surgical Assistant · Southlake, TX
Practice location
809 Silverton St
Southlake, TX 76092-3854
Fax (214) 764-0880
Mailing address
PO Box 938
Rowlett, TX 75030-0938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant Primary | 246ZC0007X | 202123 (TX) |
Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…
Another provider at this address
Other surgical assistant providers in Southlake
About NPI 1891363321
Joel Micah Supple, CSFA, CST's National Provider Identifier is 1891363321, issued on Jun 11, 2021. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Southlake, TX. The record was last updated on Dec 20, 2025.